National Nurse Aide Assessment Program Exam Practice

National Nurse Aide Assessment Program (NNAAP®)

The Nursing Home Reform Act, adopted by Congress as part of the Omnibus Budget Reconciliation Act of 1987 (OBRA ’87), was designed to improve the quality of care in long-term health care facilities and to define training and evaluation standards for nurse aides who work in such facilities. Each state is responsible for following the terms of this federal law.

The National Nurse Aide Assessment Program (NNAAP®) is an examination program designed to determine minimal competency to become a certified nurse aide in your state. The NNAAP was developed by the National Council of State Boards of Nursing, Inc., (NCSBN) to meet the nurse aide evaluation requirement of federal and state laws and regulations. Pearson VUE is the authorized administrator of the NNAAP in your state.

The NNAAP Examination is an evaluation of nurse aide-related knowledge, skills, and abilities. The NNAAP Examination is made up of both a Written (or Oral) Examination and a Skills Evaluation. The purpose of the NNAAP Examination is to test that you understand and can safely perform the job of an entry-level nurse aide.

The two parts of the examination process, the Written (or Oral) Examination and the Skills Evaluation, will be administered on the same day. You must pass both parts to be certified and listed on your state’s Nurse Aide Registry. The Nnaap Nurse Aide Practice Written Exam consists of seventy (70) multiple-choice questions written in English.

An Oral Examination may be taken in place of the Written Examination if you have difficulty reading English. The Oral Examination consists of sixty (60) multiple-choice questions and ten (10) reading comprehension questions. If you want to take the Oral Examination, you must request it when you submit an application to register for the examination.

At the Skills Evaluation you will be asked to perform five (5) randomly selected nurse aide skills. You will be given twenty-five (25) minutes to complete the five (5) skills. You will be rated on these skills by a Nurse Aide Evaluator. A complete listing of the skills is shown on pages 17 to 32.

Free National Nurse Aide Assessment Program Exam Practice

In this free NNAAP practice test , we present 30 multiple-choice questions for the National Nurse Aide Assessment Program exam given by the National Council of State Boards of Nursing.

Take our free 30 National Nurse Aide Assessment Program exam questions in this nursing practice test to study for your nurse aide certification exam or to brush up on nursing essentials.

To respond the practice questions in this free NNAAP practice exam: Click the button corresponding to the best answer for each question. When you are finished, click the “Submit” button at the bottom of the page. Your results will be scored automatically and will display your strengths and weaknesses.

This practice exam is not timed, and you may take it as many times as you wish.

Free Nurse Aide Practice Questions

The nurse aide is demonstrating proper foot care to a diabetic client. Which of the following is an appropriate action?

A. Soaking the client’s feet in hot water

B. Avoiding using mild soap on the feet

C. Applying a moisturizing lotion to dry feet, but not between the toes

D. Cutting nails and removing cuticles weekly

The nurse assistant is helping a hemiplegic client get dressed. Which of the following is a correct way to help this client get dressed?

A. Undress the client’s weak or involved extremity first.

B. Undress the upper extremity first, then the lower extremity.

C. Undress the client’s non-involved extremity last.

D. Dress the weak or most involved extremity first.

Hillary Stank (CNA) is about to bring the meal tray to the room of Mrs. Agnes Wilbur, a 69 year-old resident, who survived a stroke with some neurological deficits and moderate dysphagia. Which of the following statement is incorrect about a client with dysphagia?

A. The client will find pureed or soft foods, such as custards, easier to swallow than water.

B. Fowler’s or semi Fowler’s position reduces the risk of aspiration during swallowing.

C. The client should always feed herself.

D. The nurse aid should perform oral hygiene before assisting with feeding.

Macy, the new nurse aide, is about to take a client’s rectal temperature as ordered by the nurse. Which of the following actions show that Macy is doing the procedure inappropriately?

A. Explaining the procedure to the client and assisting in the right-side lying position.

B. Dipping probe into liberal amount of lubricant applied to a tissue, covering the probe at least 1 to 2 inches.

The physician has ordered to bladder training for a client with an indwelling catheter. The goal of bladder training is to

A. Remove the catheter.

B. Allow the person to walk to the bathroom.

C. Gain control of urination.

D. Void every 3 to 4 hours.

An incontinent elderly client frequently wets his bed and eventually develops redness and skin excoriation at the perianal area. The best care goal for this client is to:

A. Make sure that the bed linen is always dry.

B. Frequently check the bed for wetness and always keep it dry.

C. Place a rubber sheet under the client’s buttocks.

D. Keep the client clean and dry.

Mrs. Lippett, age 66, is experiencing sensory and perceptual problems that affect her right visual field (right homonymous hemianopia) because of stroke. When placing a meal tray in front of Mrs. Lippett, the nurse assistant should:

A. Place all the food on the right side of the tray.

B. Before leaving the room, remind the client to look all over the tray.

C. Place food and utensils within the client’s left visual field.

D. Stay with the client & periodically draw her attention to the food on the right side of the tray to prevent unilateral neglect.

The nurse assistant would expect a client diagnosed with hypertension to report
which common symptom?

A. Fatigue

B. Headache

C. Nosebleeds

D. Flushed face

A client is admitted to the unit with an order for hourly monitoring of blood pressure. The nurse aide finds that the cuff is too small. This will cause the blood pressure reading to be:

A. Inconsistent.

B. Low systolic and high diastolic.

C. Higher than what the reading should be.

D. Lower than what the reading should be.

Kristine (CNA) is working in a geriatric screening clinic. Kristine would expect that the skin of normal elderly clients will demonstrate which of the following characteristics?

A. Dehydration, causing the skin to swell

B. Moist skin turgor

C. Skin turgor showing loss of elasticity

D. Over hydration, causing the skin to wrinkle

You are assisting the nurse in collecting a urine specimen from a client who has been catheterized. When the urine begins to flow through the catheter, you will help:

A. Inflate the catheter balloon with sterile water.

B. Place the catheter tip into the specimen container.

C. Connect the catheter into the drainage tubing.

D. Place the catheter tip into the urine collection receptacle.

Which of the following interventions promotes client safety?

A. Asses the client’s ability to ambulate and transfer from a bed to a chair.

B. Demonstrate the signal system to the client.

C. Check to see that the client is wearing his identification band.

D. All of the above.

When performing oral care on an unconscious client, which of the following prevents aspiration of fluids into the lungs?

A. Put the client on a side-lying position with the head of bed lowered.

B. Keep the client dry by placing a towel under the chin.

C. Wash hands and observe appropriate infection control.

D. Clean the client’s mouth with oral swabs in a careful and an orderly progression.

Which of the following is the most important risk factor for development of chronic obstructive pulmonary disease?

A. Cigarette smoking

B. Occupational exposure

C. Air pollution

D. Genetic abnormalities

One evening, Lizbeth suddenly begins running up and down the hall. She strips off her clothing and strikes out widely at anyone she sees. All of the following interventions would be appropriate except:

A. Restrain the patient.

B. Call for the assistance of at least three staff members.

C. Clear the area of other patients.

D. Call the nurse for the administration of a prn drug.

Which of the following factors contributes to constipation?

A. Excessive exercise

B. High fiber diet

C. No regular time for defecation daily

D. Microbes in food and water

Apnea seen in clients with Cheyne-Stokes respiration is defined as:

A. Inability to breath in a supine position, so the patient sits up in bed to breathe.

B. The client is dead; the breathing stops.

C. There is an absence of breathing for a period of time, usually 15 seconds or more.

D. Slow, shallow, and sometimes irregular respirations

The physician requests a pair of sterile scissors. A pair of scissors found at the bedside is in an original factory wrapping that has been opened but taped closed again. Which of the following should the nursing aide do?

A. Check the hospital policy manual regarding use of opened supplies.

B. Obtain a pair of sterile scissors that have not been opened.

C. Provide the scissors to the physician because they are available and probably have not been used.

D. Question another nurse aide regarding the sterility of the scissors found at the table.

Rehabilitation and restorative care focus on:

A. What the person cannot do.

B. What the person can do.

C. The whole person.

D. The person’s rights.

Which of the following factors contributes to constipation?

A. Excessive exercise

B. High fiber diet

C. No regular time for defecation daily

D. Microbes in food and water

Lulu Simpson, 52 years old, is scheduled for a colonoscopy. Prior to the diagnostic procedure, a cleansing enema was ordered by the physician. As the nurse informs Ms. Simpson of the order, you are aware that the common position for this procedure is:

A. Sims left lateral.

B. Dorsal Recumbent.

C. Supine.

D. Prone.

Which of the following measure(s) is /are included in the care plan of clients with fecal incontinence?I.Help with elimination after meals and every 2 to 3 hours.II.Provide good skin care after every elimination.III.Assist the nurse in the insertion of a suppository as ordered by the physician.IV.Apply of incontinence products.V.Eliminate foods that are gas-forming (cabbage, cauliflower, radish, beans, onions, and cucumbers).

A. II and IV

B. I, II, IV, and V

C. All of the above.

D. II only

The most appropriate time for the nurse assistant to obtain a sputum specimen is:

A. Early in the morning.

B. After the client eats a light breakfast

C. After aerosol therapy

D. After back tapping and back massage

Mr. Gonzales was advised by his doctor to limit salt intake because of his hypertension. Which of the following dietary practices will help him reduce his sodium intake?

A. Increasing the use of dairy products

B. Using an artificial sweetener in coffee

C. Avoiding boxed and instant foods

D. Using catsup for cooking and flavoring foods

Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?

A. Side rails are ineffective.

B. Side rails should not be used.

C. Side rails are a deterrent that prevent a patient from falling out of bed.

D. Side rails are a reminder to a patient not to get out of bed.

The nurse assistant is helping a hemiplegic client get dressed. Which of the following is a correct way to help this client get dressed?

A. Undress the client’s weak or involved extremity first.

B. Undress the upper extremity first, then the lower extremity.

C. Undress the client’s non-involved extremity last.

D. Dress the weak or most involved extremity first.

Which of the following interventions promotes client safety?

A. Asses the client’s ability to ambulate and transfer from a bed to a chair.

B. Demonstrate the signal system to the client.

C. Check to see that the client is wearing his identification band.

D. All of the above.

Mrs. Lippett, age 66, is experiencing sensory and perceptual problems that affect her right visual field (right homonymous hemianopia) because of stroke. When placing a meal tray in front of Mrs. Lippett, the nurse assistant should:

A. Place all the food on the right side of the tray.

B. Before leaving the room, remind the client to look all over the tray.

C. Place food and utensils within the client’s left visual field.

D. Stay with the client & periodically draw her attention to the food on the right side of the tray to prevent unilateral neglect.